Ghs paravert facet/nerve lumb ea add bil at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$772.81
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$3,545.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$51.72 with Hill Physicians vs $6,582.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $51.72 | ↓ -93% |
| United | Medicaid|< 21 | $85.02 | ↓ -89% |
| United | Medicaid|> 21 | $85.02 | ↓ -89% |
| Hill Physicians | Medicare|All Plans | $98.10 | ↓ -87% |
| Hill Physicians | Medicaid|All Plans | $102.77 | ↓ -87% |
| Molina | Medicaid|All Plans | $139.29 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $140.77 | ↓ -82% |
| Health Net | Medicaid|All Plans | $216.76 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $216.76 | ↓ -72% |
| Partnership Health Plan | Medicaid|All Plans | $318.59 | ↓ -59% |
| Western Health Advantage | Commercial|All Plans | $943.60 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $1,105.36 | ↑ +43% |
| Healthsmart | Commercial|All Plans | $1,941.12 | ↑ +151% |
| First Health | Commercial|All Plans | $2,022.00 | ↑ +162% |
| Kaiser | Commercial|All Plans | $2,129.84 | ↑ +176% |
| MultiPlan | Commercial|All Plans | $2,156.80 | ↑ +179% |
| Sutter Health | Commercial|All Plans | $2,156.80 | ↑ +179% |
| United | Commercial|Non-Options PPO | $2,696.00 | ↑ +249% |
| BCBS - Anthem | Commercial|Connection EPO | $3,631.00 | ↑ +370% |
| BCBS - Anthem | Commercial|All Other Plans | $4,539.00 | ↑ +487% |
| Aetna | Commercial|PPO | $5,002.00 | ↑ +547% |
| Aetna | Commercial|HMO | $5,002.00 | ↑ +547% |
| Aetna | Commercial|All Other Plans | $5,002.00 | ↑ +547% |
| BCBS - Anthem | Commercial|MCS | $6,582.00 | ↑ +752% |
Visitor-reported prices
Comments
Ghs paravert facet/nerve lumb ea add bil at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento | $1,020.96 | $51.72 – $2,237.68 |
| St. John's Camarillo Hospital | Camarillo | $290.84 | $104.57 – $517.92 |
| Banner Lassen Medical Center | Susanville | $849.47 | $98.40 – $232.80 |
| Petaluma Valley Hospital | Petaluma | $3,615.90 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $402.32 | $85.02 – $921.20 |
| Mark Twain Medical Center | San Andreas | $1,999.34 | $40.88 – $154.84 |
| French Hospital | San Luis Obispo | $368.48 | $85.02 – $921.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,953.91 | $85.02 – $3,038.46 |